<!DOCTYPE html>
<html lang="en">

<head>
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0, user-scalable=0">
    <link rel="shortcut icon" type="image/x-icon" href="assets/img/favicon.ico">
    <title>Preclinic - Medical & Hospital - Bootstrap 4 Admin Template</title>
    <link rel="stylesheet" type="text/css" href="assets/css/bootstrap.min.css">
    <link rel="stylesheet" type="text/css" href="assets/css/font-awesome.min.css">
    <link rel="stylesheet" type="text/css" href="assets/css/select2.min.css">
    <link rel="stylesheet" type="text/css" href="assets/css/style.css">
    <!--[if lt IE 9]>
		<script src="assets/js/html5shiv.min.js"></script>
		<script src="assets/js/respond.min.js"></script>
	<![endif]-->
</head>

<body>
    <div class="main-wrapper">
        <div class="page-wrapper" style="padding-top: 0px;">
            <div class="content">
                <div class="row">
                    <div class="col-lg-8 offset-lg-2">
                        <form>
                            <h3 class="page-title">机构设置</h3>
                            <div class="row">
                                <div class="col-sm-6">
                                    <div class="form-group">
                                        <label>机构名称 <span class="text-danger">*</span></label>
                                        <input id="companyName" class="form-control" type="text" value="">
                                    </div>
                                </div>
                                <div class="col-sm-6">
                                    <div class="form-group">
                                        <label>联系人</label>
                                        <input id="contactPerson" class="form-control " value="" type="text">
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-sm-12">
                                    <div class="form-group">
                                        <label>地址</label>
                                        <input id="address" class="form-control " value="" type="text">
                                    </div>
                                </div>
                                <div class="col-sm-6 col-md-6 col-lg-3">
                                    <div class="form-group">
                                        <label>国家</label>
                                        <input id="country" class="form-control " value="" type="text">
                                    </div>
                                </div>
								<div class="col-sm-6 col-md-6 col-lg-3">
                                    <div class="form-group">
                                        <label>省/直辖市</label>
                                        <input id="province" class="form-control" value="" type="text">
                                    </div>
                                </div>
                                <div class="col-sm-6 col-md-6 col-lg-3">
                                    <div class="form-group">
                                        <label>城市</label>
                                        <input id="city" class="form-control" value="" type="text">
                                    </div>
                                </div>                                
                                <div class="col-sm-6 col-md-6 col-lg-3">
                                    <div class="form-group">
                                        <label>邮编</label>
                                        <input id="postalCode" class="form-control" value="" type="text">
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-sm-6">
                                    <div class="form-group">
                                        <label>Email</label>
                                        <input id="email" class="form-control" value="" type="email">
                                    </div>
                                </div>
                                <div class="col-sm-6">
                                    <div class="form-group">
                                        <label>固定电话</label>
                                        <input id="phone" class="form-control" value="" type="text">
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-sm-6">
                                    <div class="form-group">
                                        <label>移动电话</label>
                                        <input id="mobile" class="form-control" value="" type="text">
                                    </div>
                                </div>
                                <div class="col-sm-6">
                                    <div class="form-group">
                                        <label>传真</label>
                                        <input id="fax" class="form-control" value="" type="text">
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-sm-12">
                                    <div class="form-group">
                                        <label>官网主页</label>
                                        <input id="websiteUrl" class="form-control" value="" type="text">
                                    </div>
                                </div>
                            </div>
							<div class="row">
                                <div class="col-sm-6">
                                    <div class="form-group">
                                        <label>备案号</label>
                                        <input id="websiteICP" class="form-control" value="" type="text">
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-sm-12 text-center m-t-20">
                                    <button type="button" class="btn btn-primary submit-btn">保存</button>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="sidebar-overlay" data-reff=""></div>
    <script src="assets/js/jquery-3.2.1.min.js"></script>
	<script src="assets/js/popper.min.js"></script>
    <script src="assets/js/bootstrap.min.js"></script>
    <script src="assets/js/jquery.slimscroll.js"></script>
    <script src="assets/js/select2.min.js"></script>
    <script src="assets/js/app.js"></script>
	<!--json data-->
	<script type="text/javascript" src="json/settings.json"></script>
	<script type="text/javascript">
	$(document).ready(function () {
		for(key in companySettings){
			$("#" + key).val(companySettings[key]);			
		}
	});
	</script>
</body>

</html>